Felecia Clark
Behavior Technician in San Leandro, CA. Individual provider (NPI-1).
NPI number1144929068
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1144929068
- Entity type
- Individual (NPI-1)
- Name
- Felecia Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2023
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1880 Fairway DrSan Leandro, CA 94577-5629
Phone 916-729-3098
Mailing address
1880 Fairway DrSan Leandro, CA 94577-5629
Phone 916-729-3098
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All 365 Behavior Technician providers in San Leandro · All 5,527 providers in San Leandro
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